症状群：肿瘤护理管理与高级实践。
Symptom cluster: management and advanced practices in oncology nursing.
机构信息
Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Médico-Cirúrgica, São Paulo, SP, Brazil.
Hospital Sírio Libanês, São Paulo, SP, Brazil.
出版信息
Rev Esc Enferm USP. 2022 Jun 27;56(spe):e20210452. doi: 10.1590/1980-220X-REEUSP-2021-0452en. eCollection 2022.
OBJECTIVE
To present the definition of "symptom cluster" in cancer patients and to reflect on the theory, assessment, outcomes, and interventions for symptom management, based on the perspective of advanced practices in oncology nursing.
METHOD
Theoretical-reflective study that presents and discusses possibilities for managing "symptom clusters" through advanced practices in oncology nursing.
RESULTS
The term "symptom cluster" can be defined as a set of two or more related symptoms. The theoretical concepts and models that can help in its understanding are: Theory of Unpleasant Symptoms, Theory of Symptom Management, concept of self-efficacy and Theory of symptom self-management. Advanced practice nurses have the skills to manage "symptom clusters," optimizing outcomes and positively influencing the quality of life of cancer patients.
CONCLUSION
Advanced practice nurses have the essential characteristics to design, to implement and to evaluate intervention protocols aimed at the management of "symptom clusters" in cancer patients.
目的
介绍癌症患者“症状群”的定义，并从肿瘤护理高级实践的角度反思症状管理的理论、评估、结局和干预措施。
方法
理论反思性研究，介绍和讨论通过肿瘤护理高级实践来管理“症状群”的可能性。
结果
“症状群”一词可定义为两组或两组以上相关症状。有助于理解其的理论概念和模型有：不适症状理论、症状管理理论、自我效能概念和症状自我管理理论。高级实践护士具备管理“症状群”的技能，可优化结局并积极影响癌症患者的生活质量。
结论
高级实践护士具有设计、实施和评估针对癌症患者“症状群”管理的干预方案的基本特征。
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